go back

Massachusetts rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.20 / $938.00 / $2,137.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.10 / $1,904.88 / $6,710.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.88 / $1,832.28 / $3,378.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,428.66 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.60 / $1,023.32 / $1,649.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.80 / $2,215.92 / $2,813.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $9,401.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.10 / $1,904.88 / $6,710.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.96 / $1,335.54 / $3,037.99